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PTO/SB/06 (07-06)
Approved for use through 1/31/2007. OMB 0651-0032
U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
irsons are required to respond to a collection of information unless it displays a valid OMB control number.
PATENT APPLICATION FEE DETERMINATION RECORD
Substitute for Form PTO-875
Application or Docket Number
10/025,911
Filing Date
12/26/2001
PI To be Mailed
APPLICATION AS FILED - PART I
(Column 1)
(Column 2)
FOR
NUMBER FILED
NUMBER EXTRA
1*1 RA^ir 1 FFF
1 1 DMOIV^ rcc
(37 CFR 1.16(a), (b), or (c))
N/A
N/A
□ SEARCH FEE
(37CFR1.16(k), (l),or (m))
N/A
N/A
□ EXAMINATION FEE
(37 CFR 1.16(0). (p). or (q))
N/A
N/A
TOTAL CLAIMS
(37 CFR 1.16(1))
minus 20 =
INDEPENDENT CLAIMS
(37 CFR 1.1 6£h^
minus 3 =
□APPLICATION SIZE FEE
(37 CFR1.16(s))
If the specification and drawings exceed 100
sheets of paper, the application size fee due
is $250 ($1 25 for small entity) for each
additional 50 sheets or fraction thereof. See
35 U.S.C. 41 (a)(1)(G) and 37 CFR 1.16(8).
□ MULTIPLE DEPENDENT CLAIM PRESENT (37 CFR 1.160))
SMALL ENTITY □ OR
OTHER THAN
SMALL ENTITY
RATE ($)
N/A
N/A
N/A
X $
x $
1 If the difference in column 1 is less than zero, enter "0" in column 2.
APPLICATION AS AMENDED - PART II
TOTAL
FEE ($)
OR
RATE ($)
N/A
N/A
N/A
X $
x $
TOTAL
FEE ($)
(Column 1)
(Column 2)
(Column 3)
)MENT
02/20/2007
CLAIMS !
REMAINING
AFTER
AMENDMENT
HIGHEST
NUMBER
PREVIOUSLY
PAID FOR
PRESENT
EXTRA
Total (37 CFR
1.16(1))
- 5
Minus
- 20
= 0
1— 1
z
LU
Independent
(37 CFR 1. 18(h))
* 1
Minus
-3
= 0
n Application Si
zeFee (37 CFR1.16(s))
<
PI FIRST PRESENTATION OF MULTIPLE DEPENDENT CLAIM (37 CFR 1.16(J))
SMALL ENTITY
OR
OTHER THAN
SMALL ENTITY
RATE ($)
X $
X $
TOTAL
ADD'L
FEE
ADDITIONAL
FEE ($)
OR
OR
OR
RATE ($)
X $50=
X $200=
OR
TOTAL
ADD'L
FEE
ADDITIONAL
FEE ($)
(Column 1 )
(Column 2)
(Column 3)
1
CLAIMS
REMAINING
AFTER
AMENDMENT
HIGHEST
NUMBER
PREVIOUSLY
| PAID FOR
PRESENT
EXTRA
RATE ($)
ADDITIONAL
FEE ($)
RATE ($)
ADDITIONAL
FEE ($)
EN1
Total (37 CFR
* 5
Minus
« £0
X $
OR
X $
DM
Independent
(37 CFR 1.16(h))
* 1
Minus
~ S
X $
OR
X $
ENI
I I Application Si
zeFee (37 CFR1.16(s))
AM
I I FIRST PRESENTATION OF MULTIPLE DEPENDENT CLAIM (37 CFR 1.16(j))
OR
TOTAL
ADD'L
FEE
OR
TOTAL
ADD'L
FEE
* If the entry in column 1 is less than the entry in column 2, write "0" in column 3.
** If the "Highest Number Previously Paid For" IN THIS SPACE is less than 20, enter "20".
*** If the "Highest Number Previously Paid For" IN THIS SPACE is less than 3, enter "3".
The "Highest Number Previously Paid For" (Total or Independent) is the highest number found in the appropriate box in column 1
Legal Instrument Examiner:
Linda W. Badie
This collection of information is required by 37 CFR 1 .16. The information is required to obtain or retain a benefit by the public which is to file (and by the USPTO to
process) an application. Confidentiality is governed by 35 U.S.C. 122 and 37 CFR 1.14. This collection is estimated to take 12 minutes to complete, including gathering,
preparing, and submitting the completed application form to the USPTO. Time will vary depending upon the individual case. Any comments on the amount of time you
require to complete this form and/or suggestions for reducing this burden, should be sent to the Chief Information Officer, U.S. Patent and Trademark Office, U.S.
Department of Commerce, P.O. Box 1450, Alexandria, VA 22313-1450. DO NOT SEND FEES OR COMPLETED FORMS TO THIS
ADDRESS. SEND TO: Commissioner for Patents, P.O. Box 1450, Alexandria, VA 22313-1450.
If you need assistance in completing the form, call 1-800-PTO-9199 and select option 2.